• 대한의용생체공학회:의공학회지
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• 제19권1호
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• pp.59-68
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• 1998

디지털 보청기는 기존의 아날로그 보청기에 비하여 많은 장점이 있다. 디지털 신호처리 프로세서의 발달과 더불어 최근에 다양한 디지털 보청 알고리즘과 완전한 디지털 보청기가 선보였다. 디지털 보청기의 알고리즘을 개발하거나 디지털 보청기를 새로이 평가하려는 사람들에게 난청자를 대상으로 하는 임상연구는 필수적으로 거쳐야 하는 과정이다. 그러나 이러한 임상연구는 실제 난청자를 대상으로 하여야 하기 때문에 난청자와 검사자 간에 통상적으로 많은 시간과 노력이 필요하며 원활한 의사 소통이 때로는 어려울 수 있다. 왜냐하면 난청자들의 연령이 너무 어리거나 많아서 의사소통에 지장을 주거나 검사자가 필요로 하는 시간에 비슷한 난청 유형을 가진 대상자를 모으기 어렵다. 본고에서는 임상연구를 보조하여 디지털 보청기 또는 알고리즘이 개발되기까지 수행되어야 할 많은 임상연구의 결과를 예측하고 평가할 수 있는 디지털 난청 시뮬레이션 방법을 제안하고, 실제 환자의 데이터를 사용한 시뮬레이션과 그에 대한 임상 실험을 통하여 시스템의 성능을 평가하였다. 실험 결과, 정상인으로부터 모델링된 환자 데이터와 매우 유사한 측정 결과를 얻어냄으로써, 제안된 시스템이 목적하고자 하는 바를 이룰 수 있음을 검증하였다. 또한 난청 시뮬레이터의 목적인 디지털 보청기 알고리즘을 개발하기 위한 평가 툴로서, 개발 초기에 다양한 디지털 보청기용 알고리즘을 구현하여 실제 난청 시뮬레이터와 연계하여 실험함으로써 보청기 알고리즘의 평가 및 새로운 보청기 알고리즘을 개발하고 평가하거나 향후 난청자를 대상으로 하는 임상연구에서 사용할 수 있는 유용성을 입증하였다.로 우유 교육 프로그램이 향후보다 체계적이고 확대되어 지속적으로 실시된다면, 우유에 대한 의미는 물론 인식 그리고 지식 정도에 있어 효과적인 결과를 유도할 수 있을 것이다.니하였다. 6) Dibutyryl cyclic AMP 및 8-bromo cyclic GMP 모두 혈소판응집률(血小板凝集率)을 감소시켰고, 후자(後者)는 전자(前者)에 비(比)하여 월등(越等)히 현저(顯著)하였다. sodium nitroprusside에 의한 항응집률(抗凝集率)은 methylene blue 전처치(前處置)에 의하여 길항(拮抗)되었으나, bovine hemoglobin전처치에 의하여는 영향(影響)을 받지 아니하였다. 이상(以上)의 성적(成績)을 종합(綜合)하면, 뇌졸중증(腦卒中症)때, 특히 뇌혈전증(腦血栓症)의 응급치료시(應急治療時) sodium nitroprusside의 응용(應用)이 가능(可能)하다고 사료(思料)되며, 이에 대(對)하여 임상적(臨床的) 치료(治療)가 기대되는 바이다.다시 상승(上昇)하는 경향(傾向)이었다. 중성지질(中性脂質) 중(中) climacteric rise 및 숙도(熟度)와 관련하여 변화(變化)한 것은 diglyceride 및 sterol ester의 2종(種)이었으며 glyceride가 중성지질(中性脂質) 전량(全量)의 변화(變化)와 동일(同一)한 경향(傾向)인데 반(反)하여 sterol ester은 climactric onset까지 증가(增加)하다가 기후(其後) 감소(減少)하였다. 인지질(燐脂質)도 저장기간(貯藏期間) 중(中) 처리구(處理區)에 관계(關係)없이 다같이 감소(減少)되었는데, 그 정도(程度)

• 대한전자공학회:학술대회논문집
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• 대한전자공학회 2005년도 추계종합학술대회
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• pp.457-460
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• 2005

When a hearing aid' s user is listening through telephone or cellular phone, he/she usually suffers from severe electrical magnetic interference noise. It is because hearing aids amplify voice signal as well as background noise. A telecoil, an induction coil, is a possible solution for the problem. Because a telecoil has the characteristic of high pass filter, it has some problem of resulting increased high frequency noise. For solving this problem, we can use a capacitor connected with the telecoil in parallel. According to capacitance, receiving signal quality may change. In this paper, proper capacitor values for the best sound quality are investigated by experimental work.

• 음성과학
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• 제12권4호
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• pp.197-202
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• 2005

The cochlear implantation(CI) as an useful tool for aural rehabilitation in bilateral severe to profound hearing impairment. However, CI prefer to usually one ear in spite of bilateral hearing impaired. because of the various characteristics of hearing loss, the hearing conservation for the future possibility, and socioeconomic condition of hearing impaired person and their families. The unilateral CI has limitations such as a directional loss, a difficult speech understanding in noise and a neural plasticity. These limitations will be overcome by hearing aid(HA) which is familiar with hearing impairer. but HA fitting for bimodal-binaural hearing are difficult because the difference output characteristic of HA and CI. This study will be confirm realities of use of HA in unilateral cochlear implantee. For this goal, 25(m:f=10:15) child participated who are used to HA for 1 to 17 months. We had telephone interviews with their mother about use of HA, change of auditory performance and own voice. As the results, hearing threshold levels of unimplanted ear, the use of a appropriate HA, implanted and aided hearing threshold level(HTL) are must be considered for successful biomodal-binaural hearing. Especially, implanted and aided HTL should be very useful parameter for a prediction of HA effect and a criterion of selection for bilateral cochlear implantation.

• ETRI Journal
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• 제35권5호
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• pp.819-826
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• 2013

A class-D audio amplifier for a digital hearing aid is described. The class-D amplifier operates with a pulse-code modulated (PCM) digital input and consists of an interpolation filter, a digital sigma-delta modulator (SDM), and an analog SDM, along with an H-bridge power switch. The noise of the power switch is suppressed by feeding it back to the input of the analog SDM. The interpolation filter removes the unwanted image tones of the PCM input, improving the linearity and power efficiency. The class-D amplifier is implemented in a 0.13-${\mu}m$ CMOS process. The maximum output power delivered to the receiver (speaker) is 1.19 mW. The measured total harmonic distortion plus noise is 0.015%, and the dynamic range is 86.0 dB. The class-D amplifier consumes 304 ${\mu}W$ from a 1.2-V power supply.

• 한국정보전자통신기술학회논문지
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• 제2권2호
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• pp.37-43
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• 2009

본 논문에서는 저 전력 시스템에 적합한 고정 소수점 연산기로 구현된 다중 채널 디지털 보청기 알고리즘의 최적화 기법을 제시한다. 먼저 입력 신호를 고속 MDCT(modified discrete cosine transform) 방법을 사용하여 주파수 대역 분할함으로써 알고리듬의 복잡도를 최소화 하였고, MDCT 출력을 비선형 대역 분할 과정을 거쳐 채널별 그룹핑을 한 다음, 각 채널 신호를 난청인의 청각 손실 정도에 따라 구성한 라우드니스 보상 함수(loudness compensation function: LCF)표를 이용하여 이득을 조절하고, 최종적으로 TDAC 기법을 구현하는 IMDCT(Inverse MDCT) 변환을 거쳐 보상된 출력을 합성한다. 모든 과정은 16비트 정수 연산으로 구현되며, 이득을 계산하기 위해 측정되는 로그 단위의 연산 과정은 미리 계산된 테이블과 고속 탐색 알고리듬을 이용하여 구현된다. 구성된 보청기 알고리즘의 성능을 컴퓨터 시뮬레이션을 통해 평가하였다.

• 한국멀티미디어학회논문지
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• 제22권8호
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• pp.923-929
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• 2019

In this paper, biomimetic based physical ear model proposed for measuring the characteristics of a hybrid-acoustic sensor for fully implantable middle-ear hearing aid. The proposed physical ear model consists of the external ear, middle-ear, and cochlea. The physical ear model was implemented based on the anatomical structure and CT images of the human ear. To confirm the characteristics of the ear model, the vibrational characteristics of the stapes was measured after applying sound pressure to the tympanic membrane. The measured results were compared with the vibrational characteristics of the human temporal bone specified by ASTM F2504-05. Through the comparison results, the feasibility of the proposed ear model was confirmed. Then, after attaching the hybrid-acoustic sensor to the ear model, the output characteristics of the ECM and acceleration sensor were measured according to the sound pressure. The measured results were compared with previous studies using human temporal bone, and the usefulness of the proposed physical ear model was verified through the analysis results.

• 대한의용생체공학회:학술대회논문집
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• 대한의용생체공학회 1995년도 추계학술대회
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• pp.121-123
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• 1995

This paper presents a new method which compensates loss of loudness for digital hearing aids. Loudness grows more rapidly in frequency domain with substantial shifts of hearing threshold, so that loud sounds reach the uncomfortable sound level (UCL) at about the same physical stimulus level as with normal hearing. The result is a compression of the available dynamic range of hearing. Many techniques have been developed to compensate for hearing losses. In this paper, we propose a digital hearing aid which uses a single digital filter for reducing distortion and the fuzzy function to calculate gain factors. This function describes how much gain is needed for every frequency to restore loudness perception of a normal ear.

• 말소리와 음성과학
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• 제1권4호
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• pp.177-185
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• 2009

This study investigates the differences in mean F0, intensity, jitter and shimmer across hearing aid, gender and vowels. For this study, 20 hearing-impaired adults and 20 normal hearing adults as a control group were asked to read 7 Korean vowels(/$\alpha$, $\Lambda$, o, u, ɯ, i, $\varepsilon$/). Subjects' readings were recorded by NasalView and analyzed by Praat. Results showed that the means of F0 were significantly higher in the hearing impaired group(HL) than in the normal hearing group(NH), in the female group than in male group, and in high vowels than in low vowels. Second, intensity was significantly higher in the normal hearing group(NH) than in the hearing impaired group(HL), in male group than in female group, and in low vowels than in high vowels. Third, jitter was significantly higher in the normal hearing group(NH) than in the hearing impaired group(HL), and in female group than in male group and in the back vowels than in front vowels. Finally, shimmer was significantly higher in the normal hearing group(NH) than in the hearing impaired group(HL), and in male group than in female group. In particular, the male group showed that front vowels tend to have higher shimmer than back vowels.

• 말소리와 음성과학
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• 제2권1호
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• pp.135-145
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• 2010

This study investigates the differences in mean F0, intensity, jitter, and shimmer across hearing aid, gender, and vowels. For this study, 18 hearing-impaired children, 18 cochlear implanted children, and 18 normal hearing children as a control group were asked to read seven Korean vowels (/$\alpha$, $\wedge$, o, u, w, i, $\varepsilon$/). Subjects' readings were recorded by NasalView and analyzed by Praat. Results showed that the means of F0 were significantly higher in the hearing impaired group than in the normal hearing group; in the female group than in the male group; and in high vowels than in low vowels. Second, intensity was significantly higher in the hearing impaired group than in the normal hearing group; in the female group than in the male group; and in low vowels than in high vowels. Third, jitter was significantly higher in the normal hearing group than in the hearing impaired group; in the female group than in the male group; and in back vowels than in front vowels. Finally, shimmer was significantly higher in the CI group than in the normal hearing group or the hearing aided group; in the male group than in the female group; and in low vowels than in high vowels.

• Clinical and Experimental Pediatrics
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• 제50권1호
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• pp.7-13
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• 2007

Hearing loss in newborns is the most frequently occurring birth defect. If hearing impaired children are not identified and managed early, it is difficult for many of them to acquire the fundamental language, social and cognitive skills that provide the foundation for later schooling and success in society. All newborns, both high and low risk, should be screened for hearing loss in the birth hospital prior discharge (Universal Newborn Heaing Screening, UNHS). Objective physiologic measures must be used to detect newborns and very young infants with hearing loss. Recent technological developments have produced screening methods and both evoked otoacoustic emission (EOAE) and auditory brainstem response (ABR) have been successfully implemented for UNHS. Audiologic evaluation should be carried out before 3 months of age and infants with confirmed hearing loss should receive intervention before 6 months of age. All infants who pass newborn hearing screening but who have risk indicators for other auditory disorders and/or speech and language delay receive ongoing audiologic surveillance and monitoring for communication development. Infants with sensorineural hearing loss are managed with hearing aids and receive auditory and speech-language rehabilitation therapies. Cochlear implants can be an outstanding option for certain children aged 12 months and older with severe to profound hearing loss who show limited benefit from conventional amplifications.